Assignment 1: Lab Assignment: Ethical Concerns

Assignment 1: Lab Assignment: Ethical Concerns

Assignment 1: Lab Assignment: Ethical Concerns

            The case study assigned demonstrates a 47-year-old male patient admitted to the emergency room with a primary diagnosis of ulcerative colitis and symptoms of extreme abdominal pain. The patient has failed to take his medication for the past few months due to a lack of medical insurance. Further assessment of the patient’s condition will involve finding the actual location of the abdominal pain and associated symptoms such as blood in stool, fever, and diarrhea (Kucharzik et al., 2020). The patient’s frequency of bowel motion per day, in addition to bleeding rectum, will also be considered for grading purposes, as either mild, moderate, or severe. To confirm the patient’s primary diagnosis, a mucosal biopsy for histopathology and endoscopy will be ordered (Nakov, 2019). Additional diagnostic tests needed to assess for associated complications include a complete blood count for anemia and thrombocytosis; a comprehensive metabolic panel for hypokalaemia, hypoalbuminemia, elevated alkaline phosphate, and hypomagnesemia; inflammatory markers; and stool assay.

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            For better treatment outcomes among patients with ulcerative colitis, evidence demonstrates the need of being compliant with medication therapy, before considering additional non-pharmacological approaches such as dietary interventions (Kucharzik et al., 2020). As an APRN, patients with no medical insurance require equal attention to the observation of specific ethical standards such as beneficence, justice, nonmaleficence, and respect for the person. As such, it will be necessary to consider the patient’s financial burden and prescribe low-cost generic medications that the patients can afford (Fernandez-Lazaro et al., 2019). Consequently, the APRN can also connect the patient with state-based assistance plans, pharmaceutical company-based assistance plans, and pharmacists who provide 30-day supplies of several prescribed medications (Kvarnström et al., 2021). The above strategies will help the patient acquire the prescribed medication at a reduced cost hence promoting his compliance and recovery.

References

Fernandez-Lazaro, C. I., Adams, D. P., Fernandez-Lazaro, D., Garcia-González, J. M., Caballero-Garcia, A., & Miron-Canelo, J. A. (2019). Medication adherence and barriers among low-income, uninsured patients with multiple chronic conditions. Research in Social and Administrative Pharmacy, 15(6), 744–753. https://doi.org/10.1016/j.sapharm.2018.09.006

Kucharzik, T., Koletzko, S., Kannengießer, K., & Dignaß, A. (2020). Ulcerative Colitis—Diagnostic and Therapeutic Algorithms. Deutsches Aerzteblatt Online. https://doi.org/10.3238/arztebl.2020.0564

Kvarnström, K., Westerholm, A., Airaksinen, M., & Liira, H. (2021). Factors Contributing to Medication Adherence in Patients with a Chronic Condition: A Scoping Review of Qualitative Research. Pharmaceutics, 13(7). https://doi.org/10.3390/pharmaceutics13071100

‌Nakov, R. (2019). New markers in ulcerative colitis. Clinica Chimica Acta, 497, 141–146. https://doi.org/10.1016/j.cca.2019.07.033

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Assignment 1: Lab Assignment: Ethical Concerns

To Prepare
Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.
• Based on the scenarios provided:
o Select one scenario, and reflect on the material presented throughout this course.
• CASE STUDY 3
• A 47-year-old man with Ulcerative Colitis has been admitted to the emergency room with an extreme abdominal pain. He explains that he has not taken his medications for the last few months and does not have any medical or prescription insurance.
o What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
o Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
The Lab Assignment
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.